| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,428 |
5,714 |
$462K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,402 |
5,785 |
$441K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,567 |
1,525 |
$195K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,370 |
1,342 |
$154K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
853 |
800 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,619 |
4,167 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
810 |
794 |
$102K |
| 90461 |
|
1,776 |
1,634 |
$34K |
| 96160 |
|
1,808 |
1,747 |
$17K |
| 99215 |
Prolong outpt/office vis |
88 |
85 |
$13K |
| 99072 |
|
3,684 |
2,999 |
$10K |
| 96127 |
|
1,433 |
1,302 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
63 |
$7K |
| 90686 |
|
809 |
785 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
321 |
293 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
604 |
591 |
$5K |
| 99070 |
|
868 |
777 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
553 |
310 |
$4K |
| 99000 |
|
668 |
607 |
$3K |
| 99383 |
|
14 |
14 |
$2K |
| 90651 |
|
334 |
321 |
$1K |
| 90633 |
|
669 |
654 |
$1K |
| 99051 |
|
86 |
80 |
$1K |
| 90620 |
|
406 |
390 |
$951.92 |
| 90723 |
|
525 |
494 |
$948.23 |
| 69210 |
|
21 |
13 |
$891.10 |
| 97802 |
|
30 |
28 |
$798.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$576.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
298 |
279 |
$511.60 |
| 90710 |
|
290 |
279 |
$413.22 |
| 90715 |
|
86 |
85 |
$317.58 |
| 90647 |
|
432 |
408 |
$263.31 |
| 90670 |
|
771 |
735 |
$262.68 |
| 90734 |
|
153 |
144 |
$246.38 |
| 90696 |
|
12 |
12 |
$120.02 |
| 90680 |
|
402 |
380 |
$24.01 |
| 99056 |
|
125 |
118 |
$0.00 |
| 90688 |
|
29 |
29 |
$0.00 |